12 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
other causes of cardio-pulmonary ... common finding) • Atrial ... also a result of atrial ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... • Chest pain, pericarditis ... gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... Pericarditis: PR ... Subepicardial atrial ... #electrocardiogram ... #diagnosis #ekg
Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1
Amyloidosis on POCUS Echocardiogram ... Apical 4 Chamber (A4C ... thickening and biatrial ... appearance of heart on CXR ... #Cardiology #A4C
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism → Cardiac ... rhythm monitoring, Echocardiogram ... • Provoked (e.g ... CBC, aPTT, +/- CXR ... Workup #hematology #diagnosis
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... shock, Arrythmias, Pericarditis ... , Tamponade EKG ... agent, steroids, AC ... #Myocarditis #diagnosis
Amyloidosis on POCUS Echocardiogram - Subcostal 4 Chamber (S4C)
Pt with systemic AL amyloidosis presents with 1
Amyloidosis on POCUS Echocardiogram ... thickening and biatrial ... appearance of heart on CXR ... #Amyloidosis #Cardiac ... #Cardiology #S4C
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Palpitations Diagnosis ... exam • 12-lead ECG ... tachycardia • Pericarditis ... #Palpitations #Cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... one post op Cardiology ... postoperative cardiac ... CARP, DECREASE V trials ... stratification #diagnosis
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
- A4C Pt sent to ... BUN/Cr- 128/9.4. ... K 5.9 without EKG ... Pericardial #Effusion #Cardiac ... #cardiology